NCC223308_NOI 105962 Payment Verification_20220921

Action History (UTC-05:00) Eastern Time (US & Canada)
Submit by Anonymous User 9/20/2022 10:44:25 AM (NCG01 NOI Submission)
Approve by Broussard, Brooklyn C 9/20/2022 10:50:34 AM (Review - NOI 105962 Elizabeth City, NC - Petco)
• The task was assigned to Broussard, Brooklyn C by round robin distribution 9/20/2022 10:45 AM
• The task was assigned to DEMLR NCG01 NOI Review Team. The due date is: September 23, 2022 5:00
PM 9/20/2022 10:45 AM
by Workflow 9/20/2022 10:50:41 AM (Workflow Start Event)
Submit by Holloman, Tevye L 9/21/2022 8:52:29 AM (Payment Verification for NCC223308)
F Gabriel Martinez
Holloman, Tevye L assigned the task to Holloman, Tevye L 9/21/2022 8:51 AM
The task was assigned to DEMLR NCG01 Payment Team. The due date is: November 1, 2022 5:00 PM
9/20/2022 10:50 AM

5 A7
Payment •
NORTH CAROLINA
Envlrmmm(af Quafhy
Project Name
Elizabeth City, NC - Petco
Lot Numbers
(If listed on the eNOI)
1
NC Reference No.*
NCG01-2022-3308
Certificate of
NCC223308
Coverage (COC) No.*
Invoice Date
9/20/2022
Initial Invoice No.
NCC223308-2022
Initial Fee
$ 100.00
Invoice Due Date
10/20/2022
Important: If you change the choice below to Payment NOT RECEIVED, the application will be rejected, and a COC will
not be issued. This is the ONLY way to reject an eNOI at this step.
Payment Received*
• Payment Received.
Payment NOT RECEIVED.
Payment Status
PAID
Date Payment
9/21/2022
Received *
(Or, if not received, date rejected for no payment)
Method of Payment*
• electronic
check
Other
ePayment
654045922
Transaction Number*
NOI Tracking No.
105962
Tracking ID referenced upon submittal
This is an Express
• No
Review Project
Yes
Project Tracking ID
NCC-PASQU-2022-Elizabeth City, NC - Petco